Understanding the SARS-CoV-2 virus’ pathways of infection,
virus–host–protein interactions, and mechanisms of virus-induced
cytopathic effects will greatly aid in the discovery and design of new therapeutics to
treat COVID-19. Chloroquine and hydroxychloroquine, extensively explored as clinical
agents for COVID-19, have multiple cellular effects including alkalizing lysosomes and
blocking autophagy as well as exhibiting dose-limiting toxicities in patients.
Therefore, we evaluated additional lysosomotropic compounds to identify an alternative
lysosome-based drug repurposing opportunity. We found that six of these compounds
blocked the cytopathic effect of SARS-CoV-2 in Vero E6 cells with half-maximal effective
concentration (EC
50
) values ranging from 2.0 to 13 μM and selectivity
indices (SIs; SI = CC
50
/EC
50
) ranging from 1.5- to >10-fold.
The compounds (1) blocked lysosome functioning and autophagy, (2) prevented pseudotyped
particle entry, (3) increased lysosomal pH, and (4) reduced (ROC-325) viral titers in
the EpiAirway 3D tissue model. Consistent with these findings, the siRNA knockdown of
ATP6V0D1 blocked the HCoV-NL63 cytopathic effect in LLC-MK2 cells. Moreover, an analysis
of SARS-CoV-2 infected Vero E6 cell lysate revealed significant dysregulation of
autophagy and lysosomal function, suggesting a contribution of the lysosome to the life
cycle of SARS-CoV-2. Our findings suggest the lysosome as a potential host cell target
to combat SARS-CoV-2 infections and inhibitors of lysosomal function could become an
important component of drug combination therapies aimed at improving treatment and
outcomes for COVID-19.